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JAMES PETROS M.D. INC. NPI 1336448299


NPI Information

NPI: 1336448299
Provider Name: JAMES PETROS, M.D., INC.

Doing Business As: ALLIED PAIN & SPINE INSTITUTE

Classification: Point of Service - 305S00000X
Entity Type: Organization

CLIA Number: 05D2060322

Address:
1604 BLOSSOM HILL RD STE 10
SAN JOSE, CA
ZIP 95124
Phone: (408) 528-8833
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JAMES PETROS, M.D., INC. is a point of service in San Jose, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. JAMES PETROS, M.D., INC. NPI is 1336448299. The provider is registered as an organization entity type.
The provider Is Doing Business As Allied Pain & Spine Institute.

The provider's business location address is:

1604 BLOSSOM HILL RD STE 10
SAN JOSE, CA
ZIP 95124-350
Phone: (408) 528-8833
Fax: (408) 528-8557

The provider's authorized official is James Petros .
The authorized official title is Ceo/president and has the following contact phone number (408) 528-8833.

The CLIA number assigned to this NPI record is 05D2060322 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2011 and was last updated on 1/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceA90732CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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